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Individual

MRS. MICHELLE LEIGH BURKOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
908 PAREDES LINE RD, BROWNSVILLE, TX 78521-2660
(956) 545-7330
Mailing address
6334 W LAKESIDE BLVD, OLMITO, TX 78575-9795
(956) 545-7330

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
66777
TX
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
66777
TX

Other

Enumeration date
05/13/2013
Last updated
02/21/2014
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